Individual
TRACY M MADERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5536 SUPERIOR DR, SUITE B, BATON ROUGE, LA 70816-6064
(225) 802-7748
Mailing address
14655 PICOU RD, MAUREPAS, LA 70449-8265
(225) 695-3895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5870
LA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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